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Proximal humeral greenstick fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Fell of bike.

Patient Data

Age: 9 years
Gender: Male

Minimally angulated incomplete (greenstick) fracture through the proximal metaphysis. No extension to the physis. Normal glenohumeral alignment. 

Case Discussion

Pediatric proximal humeral fractures are uncommon but tend to have one of two characteristics patterns:

  • metaphyseal fracture (70%) at either the surgical neck or metadiaphysis
  • epiphyseal separation (30%) as either Salter-Harris II or less commonly Salter-Harris I injuries

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